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Trial registered on ANZCTR
Registration number
ACTRN12612000477820
Ethics application status
Approved
Date submitted
13/04/2012
Date registered
1/05/2012
Date last updated
1/05/2012
Type of registration
Prospectively registered
Titles & IDs
Public title
Subcutaneous Frusemide in patients with heart failure
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Scientific title
The Use of Continuous Subcutaneous Frusemide in Decompensated Heart Failure: can it achieve a diuresis?
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Secondary ID [1]
280376
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Decompensated Heart Failure
286286
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Condition category
Condition code
Cardiovascular
286519
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0
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Coronary heart disease
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Cardiovascular
286642
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0
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Other cardiovascular diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Frusemide will be administered subcutaneously through a Safe - T intima cannula continuously via a Niki syringe driver. Hourly Frusemide dose will be determined by the treating Cardiologist ( 10-20mg/hour). Length of intervention will be 48hours.
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Intervention code [1]
284676
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Treatment: Drugs
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Comparator / control treatment
No control - feasibility study
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Net urine volume voided
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Assessment method [1]
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Timepoint [1]
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24 hours
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Primary outcome [2]
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Urine sodium concentration
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Assessment method [2]
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Timepoint [2]
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24 hours
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Primary outcome [3]
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Time to first void
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Assessment method [3]
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Timepoint [3]
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Measured from commencement of infusion
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Secondary outcome [1]
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Site reactions
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Assessment method [1]
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Timepoint [1]
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4 hourly until end of treatment period at 48 hours- using Organisational Wide Phlebitis Scale
(RCN,2005)
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Secondary outcome [2]
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creatinine- serum assay
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Assessment method [2]
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Timepoint [2]
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Daily for 4 days
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Secondary outcome [3]
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length of hospital stay, number of days out of hospital
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Assessment method [3]
297046
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Timepoint [3]
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data linkage to medical records to 3 months post discharge
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Eligibility
Key inclusion criteria
Decompensated heart failure as meaured by 2 or more of the following - increasing weight, shortness of breath, orthopnoea, paroxysmal nocturnal dyspnoea, pulmonary rales, elevated JVP, peripheral and/or abdominal oedema
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Cardiovascular instability, inotropes, and/or BiPAP, Creatinine >250umol/L
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Non randomised feasibility study.
Patients will be identified from Cardiology ward.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Non randomised
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
Open, non-randomised, prospective feasiblity study
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Phase
Phase 4
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/05/2012
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
20
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
4259
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Address [1]
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Country [1]
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New Zealand
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Primary sponsor type
Hospital
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Name
Auckland City Hospital
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Address
Department of Cardiology
Level 3
Auckland City Hospital
Park Rd Grafton
Auckland1030
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Country
New Zealand
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Secondary sponsor category [1]
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University
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Name [1]
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University of Auckland
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Address [1]
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Associate Professor Robyn Dixon
Director of Postgraduate Studies
School of Nursing
University of Auckland
Park Rd Grafton
Auckland1030
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Country [1]
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Northern X Regional Ethics Committee
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Ethics committee address [1]
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Private Bag 92522 Wellesley Street Auckland 1141
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
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Approval date [1]
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08/03/2012
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Ethics approval number [1]
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NTX/12/02/001
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Summary
Brief summary
The proposed study is a single centre, prospective, feasibility study measuring the effectiveness of continuous sc Frusemide (CSI-F) in achieving a diuresis in patients with decompensated heart failure.Eligible patients with decompensated heart failure who are admitted to Auckland City Hospital will be treated for the first 24 hours with usual therapy (as per Consultant Cardiologist). After 24 hours of usual care, and after obtaining informed consent, patients will receive Frusemide via a continuous subcutaneous infusion.A Safe-T Intima sc cannula will be inserted with an aseptic technique under the skin by the researcher or patients nurse. The infusion dosage will run as per Consultants medical orders via a Niki T34 syringe driver. The dose of Frusemide will be decided by the Cardiology Consultant responsible for the patients care, and will usually be dose for dose that which would be administered IV. Baseline recordings will be taken such as blood pressure (BP), heart rate (HR), respiratory rate (RR), temperature and weight will be taken prior to infusion.Primary outcome measures will be of net urine volume voided, urine sodium concentration, time to first void, weight, breathlessness and peripheral oedema score.Secondary outcome measures will be serum creatinine, site reactions, length of hospital stay, and number of days out of hospital.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Jane Hannah
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Address
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Department of Cardiology
Level 3
Auckland City Hospital
Park Rd Grafton
Auckland 1030
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Country
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New Zealand
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Phone
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+ 64 9 3074949
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Fax
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+64 9 3074950
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr James Pemberton
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Address
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Cardiologist
Department of Cardiology
Level 3
Auckland City Hospital
Park Rd Grafton
Auckland 1030
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Country
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New Zealand
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Phone
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+64 9 3074949
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Fax
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+64 9 3074950
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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